Individual provider · Type 1 NPI
Marissa Bottos, FNP, APRN
Family Nurse Practitioner · La Porte, IN
NPI number
1639720972
Active
Practice location
1331 State St # 340
La Porte, IN 46350-3112
Fax (219) 324-0827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 71009430A (IN) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1639720972
Marissa Bottos, FNP, APRN's National Provider Identifier is 1639720972, issued on Sep 27, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in La Porte, IN. The record was last updated on Mar 19, 2026.